Skip to main content

Oil and Gas Forms

The Oil, Gas, and Minerals Division (OGMD) has published new forms (and revised old forms) for operator use to comply with oil and gas permitting and drilling and completion reporting requirements. These forms may be submitted electronically - in digital format - to the special email addresses (preferred) or as paper copies by way of regular mail. Please refer to the listing below as a guide for records submittal.

Forms on this page are in Microsoft Word and Adobe format.

Items on this page:
Forms used for Permits and Bonding (PBU)
Forms used for Drilling and Completion (PMGU)
Forms used for Production and Operating (PMGU and MPSC)
Forms Used by District Office (District and Area Geologists Map)

Forms Used for Permits and Bonding
Permit Applications may be submitted by mail to:

Michigan Department of Environment, Great Lakes, and Energy
Oil, Gas, and Minerals Division
P.O. Box 30256 Lansing, Michigan 48909-7756

or by email to: EGLE-OGMDpermitapplications@Michigan.gov
Contact: 517-284-6826

FORM NAME

FORM NUMBER

ORIGINATOR

WHEN TO FILE

WHERE TO FILE

*Application for Permit to Drill, Deepen, and Operate a Well Forms marked w/ * are attached as part of a complete application to drill

EQP 7200-1

Permit Instructions:

EQC 7200
EQC 7200-1
EQC 7200-2

Permit Applicant

Application

EGLE-OGMDPermitApplications@Michigan.gov

* Survey Record of Well Location

EQP 7200-2

Permit Applicant

w/Application for Permit to Drill

EGLE-OGMDPermitApplications@Michigan.gov

* Wellhead Blowout Control System

EQP 7200-4

Permit Applicant

w/Application for Permit to Drill

EGLE-OGMDPermitApplications@Michigan.gov

* Injection Well Data & attachments

EQP 7200-14

Permit Applicant

w/Application for Permit to Drill

EGLE-OGMDPermitApplications@Michigan.gov

* Soil Erosion & Sedimentation Control Plan

EQP 7200-18

Permit Applicant

w/Application for Permit to Drill

EGLE-OGMDPermitApplications@Michigan.gov

* Environmental Impact Assessment

EQP 7200-19

Permit Applicant

w/Application for Permit to Drill

EGLE-OGMDPermitApplications@Michigan.gov

* Antrim Project

Environmental Impact Assessment

EQP 7200-21

Permit Applicant

w/Application for Permit to Drill

EGLE-OGMDPermitApplications@Michigan.gov

* Surface Owner Notification

No form. File as required by {R324.201(2)(d)}

Permit Applicant

w/Application for Permit to Drill

EGLE-OGMDPermitApplications@Michigan.gov

Bond for Conformance (use one of the forms below)

Permit Applicant

For a single well bond:

Submit with application for Permit to Drill or Request for Transfer.

For a blanket bond:

If documents are already on file w/ OGMD no need to be copied for new application for Permit to Drill or Request for Transfer.

EGLE-OGMDPermitApplications@Michigan.gov

1. Surety Bond

EQP 7200-3

2. Certificate of Deposit

CD

3. Letter of Credit

EQP 7298 single

EQP 7299 blanket

4. Cashier's Check

check

5. Statement of Financial Responsibility

EQP 7200-17

Acceptance of CD as Conformance Bond

EQP 7200-15 (single)
EQP 7200-16 (blanket)

Permit Applicant

w/CD bond

EGLE-OGMDPermitApplications@Michigan.gov

Well Permittee Organization Report

EQP 7200-13

Permit Applicant

As requested by PBU usually w/App or Request for Transfer

EGLE-OGMDPermitApplications@Michigan.gov

Request for Transfer of Permit

EQP 7200-7

Permittee

At change of owner or operator

EGLE-OGMDPermitApplications@Michigan.gov

Authorization for Expenditure

EQP 7604

Petitioner in pooling hearing

With petition as petition exhibit

with Petition

Application for Rule 303 Spacing Exception

EQP 7200-23

Permit Applicant

When applying for an expanded voluntary pooled drilling unit

EGLE-OGMDPermitApplications@Michigan.gov

Annual Certification for Blowout Preventers, Accumulators, Pumps and Secondary Systems

EQP 7200-11

Drilling Contractor

Annually or when BOP is modified

EGLE-OGMDPermitApplications@Michigan.gov

High Volume Hydraulic Fracturing Operations Environmental Impact Assessment

EQP 7200-24

Applicant

Prior to high volume hydraulic fracturing

EGLE-OGMDPermitApplications@Michigan.gov

High Volume Hydraulic Fracturing Operations Chemical Additives Pre-Disclosure Form

EQP 7200-26

Applicant

Permitting and Change of Well Status

EGLE-OGMDPermitApplications@Michigan.gov

Forms Used for Drilling and Completion

Drilling and completion records may be submitted by mail to:
Michigan Department of Environment, Great Lakes, and Energy
Oil, Gas, and Minerals Division
P.O. Box 30256 Lansing, Michigan 48909-7756

Drilling and completion records also may be submitted by email to: 
EGLE-GeologicalRecords@Michigan.gov
Contact: Kelley Nelson 517-614-4989

FORM NAME

FORM NUMBER

ORIGINATOR

WHEN TO FILE

WHERE TO FILE

Record of Well Drilling or Deepening

EQP 7200-5

Permittee

Within 60 days of drilling completion

EGLE-GeologicalRecords@michigan.gov

Well Elevations

No form. File as required by {R324.418(a)(i)}

Permittee

Within 60 days of drilling completion

EGLE-GeologicalRecords@michigan.gov

Electric or Radiation Logs

No form. File as required by {R324.419(1)}

Permittee

30 days after running log(s)

EGLE-GeologicalRecords@michigan.gov

Survey of Directionally Drilled Well

No form. File as required by {R324.421}

Permittee

30 days after drilling completion Note: a well may not be produced until survey is filed

EGLE-GeologicalRecords@michigan.gov

Water Well Record for Oil, Gas, or Mineral Well Operations

EQP 7200-10

Permittee

30 days after water well completion

EGLE-GeologicalRecords@michigan.gov

Certification of Casing and Sealing of Surface Hole

EQP 7200-12

Permittee

30 days after drilling completion

EGLE-GeologicalRecords@michigan.gov

Mud Pit Plot

EQP 7200-9

Permittee

60 days after drilling completion

EGLE-GeologicalRecords@michigan.gov

Record of Well Completion

EQP 7130

Permittee

Within 60 days of well completion

EGLE-GeologicalRecords@michigan.gov

Core descriptions

No form. File record as required by {R324.418(c)}

Permittee

Within 60 days of plugging the well

EGLE-GeologicalRecords@michigan.gov

Water Well Plugging Record for Oil & Gas Operations

EQP 7200-20

Permittee

30 days after water well plugging

EGLE-GeologicalRecords@michigan.gov

High Volume Hydraulic Fracturing Operations Water Withdrawal and Usage Report

EQP 7200-25

Permittee

60 days after high volume hydraulic fracturing completion

EGLE-GeologicalRecords@michigan.gov

Electric Logs and Mud Logs shall be submitted as digital copies by email to EGLE-GeologicalRecords@Michigan.gov. If size limitations prohibit submission by email (generally if cumulative file size is greater than 20 MB), digital copies shall be submitted by mail on a USB flash drive or CDR/DVDR to the following address: Oil, Gas, and Minerals Division, PO Box 30256, Lansing, MI 48909-7756. All log files shall be submitted in Log ASCII Standard (LAS) and Tag Image File (TIF) format. PDF files and paper copies may be accepted with prior approval by EGLE/OGMD. Files shall be named using the well permit number, well name, and log type. All files are to be submitted as single page TIF and/or single page PDF. Logs are due within 30 days of conducting the logging run.

Forms Used for Production and Operating
Production and operating records should be submitted by mail to:
Michigan Department of Environment, Great Lakes, and Energy 
Oil, Gas, and Minerals Division 
P.O. Box 30256 Lansing, Michigan 48909-7756

Please review the forms for final submittal instructions, select production and operating records may be submitted by email to: EGLE-GeologicalRecords@Michigan.gov

Contact: Kelley Nelson 517-284-6835

FORM NAME

FORM NUMBER

ORIGINATOR

WHEN TO FILE

WHERE TO FILE

Monthly Production Report

EQP 7101

Producer

Within 45 days after end of month of production

EGLE-GeologicalRecords@michigan.gov & MPSC

Annual Production Report

EQP 7101A

Producer

By February 14 after the end of the year

EGLE-GeologicalRecords@michigan.gov & MPSC

Oil Gatherers Monthly Report

EQP 7102 or approved equivalent

Oil Purchaser/Transporter

Within 45 days after end of month of purchase or transport

EGLE-GeologicalRecords@michigan.gov

Monthly Production Report (Trenton Black River)

EQP 7105

Producer

Within 45 days after end of month of production

EGLE-GeologicalRecords@michigan.gov & MPSC

Bottom Hole Pressure Test

EQP 7104

Producer

After completion and as requested

EGLE-GeologicalRecords@michigan.gov

Central Production Facilities Meter Readings Form A

EQP 7126A

Producer

Within 45 days after end of month of production

EGLE-GeologicalRecords@michigan.gov

Centralized Production Facilities Monthly Report Form B

EQP 7126B

Producer

Within 45 days after end of month of production

EGLE-GeologicalRecords@michigan.gov

Initial Production Report

EQP 7127

Producer

After completion

EGLE-GeologicalRecords@michigan.gov

Gas Gatherers Monthly Report

EQP 7129

Gas Purchaser/ Transporter

Within 45 days after end of month of production

EGLE-GeologicalRecords@michigan.gov

Annual Secondary & Enhanced Recovery Project Report

EQP 7142

Producer

Annually by March 1 of following year

EGLE-GeologicalRecords@michigan.gov

Liquid and Gas Analysis

No form. File as required by {R324.1118(4)}

Producer

After completion & as requested

EGLE-GeologicalRecords@michigan.gov

Annular Pressure Test

EQP 7606

Operator

Before initial injection & at least once each 5 year per R324.803 & 805

EGLE-GeologicalRecords@michigan.gov

Injection Well Operating Report

EQP 7609

Operator

Monthly or Annually

EGLE-GeologicalRecords@michigan.gov

Gas Storage Operations Annual Well Fee Assessment Report

EQP 7141

Storage Operator

Annually by January 31

EGLE-GeologicalRecords@michigan.gov

Forms Used In The Field

Submit to the OGMD Area Geologist and appropriate District Office email for approval.  Cadillac: EGLE-OGMD-Records-Cadillac@michigan.govGaylord: EGLE-OGMD-Records-Gaylord@michigan.govKalamazoo: EGLE-OGMD-Records-Kalamazoo@michigan.gov, Lansing: EGLE-OGMD-Records-Lansing@michigan.govSaginaw Bay: EGLE-OGMD-Records-SaginawBay@michigan.govSE Michigan: EGLE-OGMD-Records-SEMichigan@michigan.gov, (For the Upper Peninsula, use: EGLE-GeologicalRecords@michigan.gov)

District and Area Geologists Map

FORM NAME

FORM NUMBER

ORIGINATOR

WHEN TO FILE

HOW TO FILE

Report of Loss or Spill

EQP 7233

Permittee

w/in 10 calendar days. (Losses over 42 gallons report verbally w/in 8 hours)

Email Area Geologist & District Inbox

Record of Well Plugging or Change of Well Status

EQP 7200-8 Permittee 60 days after Change/ Plugging    Email Area Geologist & District Inbox

Gas-Oil Ratio Test

EQP 7103

Producer

As requested by PMGU or District. Report due w/in 15 days of test

Email Area Geologist & District Inbox

Assumption of Responsibility by Landowner

EQP 7240

Permittee

Prior to Bond Release

Email Area Geologist & District Inbox

Application to Change Well Status and/or Plug and Abandon

EQP 7200-6

Permittee

When requested by permittee or OGMD

Email Area Geologist & District Inbox
Surface Facility Location and Environmental Impact Assessment EQP 7200-22 Operator When applying for a surface facility Email Area Geologist & District Inbox
Owner Consent for Surface Facility with H2S Wells EQP 7241 Operator When applying for a surface facility Email Area Geologist & District Inbox